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超声引导下哺乳期乳腺脓肿针吸术有效性的评估

Assessment of the Effectiveness of Ultrasound-Guided Needle Aspiration of Lactating Breast Abscesses.

作者信息

Tran Anh Tuan, Nguyen Dinh Minh, Tran Quang Hien, Nguyen Quang Hung, Nguyen Thi Thu Ha, Tran Thi Do Quyen, Luu Hong Nhung, Do Thi Yen Mai

机构信息

Radiology Center, Bach Mai Hospital, Hanoi, Vietnam.

Radiology Department, University of Medicine and Pharmacy, Hanoi National University, Hanoi, Vietnam.

出版信息

Int J Gen Med. 2024 Feb 13;17:553-557. doi: 10.2147/IJGM.S449432. eCollection 2024.

Abstract

OBJECTIVE

To evaluate the effectiveness of ultrasound-guided needle aspiration in treating lactating breast abscesses.

METHODS

This study was conducted in Bach Mai Hospital, from 6/2020 to 7/2021. Lactating patients with breast abscesses underwent ultrasound-guided aspiration followed by antibiotics therapy.

RESULTS

There were 59 lactating patients with 82 breast abscesses. Most of the abscesses had heterogeneous echogenicity, no capsule, and a size smaller than 5cm. Bacterial culture results showed that 85.4% of cases were Methicillin-resistant . The number of aspirations was from 1 to 5. The cure rate was 91.5%, and 5.3% of these cases had a complication associated with galactocele after treatment.

CONCLUSION

Ultrasound-guided needle aspiration is a minimally invasive treatment option for lactating breast abscesses with a high complete cure rate and good cosmetic results.

摘要

目的

评估超声引导下针吸术治疗哺乳期乳腺脓肿的有效性。

方法

本研究于2020年6月至2021年7月在巴维医院进行。患有乳腺脓肿的哺乳期患者接受超声引导下针吸术,随后进行抗生素治疗。

结果

有59例哺乳期患者,共82个乳腺脓肿。大多数脓肿具有不均匀回声、无包膜,且大小小于5厘米。细菌培养结果显示,85.4%的病例对甲氧西林耐药。针吸次数为1至5次。治愈率为91.5%,其中5.3%的病例在治疗后出现与乳腺囊肿相关的并发症。

结论

超声引导下针吸术是治疗哺乳期乳腺脓肿的一种微创治疗选择,治愈率高,美容效果好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0875/10874122/04f75bb9203c/IJGM-17-553-g0001.jpg

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